COLOSTOMY CARE

PRESENTED BY,
Sukritha.s
First year msc nursing
Govt college of nursing
Thrissur
 COLOSTOMY
Colostomy is a surgically created
opening(stoma) in the large intestine
brought near the abdomen for
evacuation of bowel
TYPES OF COLOSTOMY

According to stoma site

*Ascending colostomy
*Transverse colostomy
*Descending colostomy
 COLOSTOMY CARE
Colostomy care refers to
cleaning of the stomal area using
warm water and dry wipes to gently
clean around the stoma and change
pouch system
 PURPOSES
*To prevent leakage
*To prevent infection
*To promote general comfort and positive
self image
*To provide clean ostomy pouch for fecal
evacuation
*TO reduce odor from over use of old pouch
 ARTICLES REQUIRED
A clean tray containing :
Mackintosh with towel
Clean gloves
Cotton swab and gauze piece
Disposable colostomy bag
Stoma measuring guide
Skin barrier
 ARTICLES REQUIRED
Zinc oxide ointment
Scissors
Bed pan with cover
Towel
Wash cloth
Water in basin
Soap in dish
STOMA MEASURING GUIDE
 NURSNG CONSIDERATION

 Measure the patient’s fluid intake and output. Check the

stoma appliance for quality and quantity of discharge.

 Record intake and output every 4 hours for the first 3

days following surgery.

 Flatus may cause a pouch to balloon out. This requires

immediate attention, if flatus is not released the pouch
may separate from skin barrier causing seepage of fecal
matter.
 Educate the patient and care giver to keep the stoma
site always dry.
 Observethe stoma site for colour, swelling, trauma
and condition of the peri-stomal skin.
 Observe the amount of effluent in the pouch and
empty the pouch if it’s more than to ½ full.
 Return of peristalsis causes an increase in flatus.
Advise patient that it is indicative of bowel
functioning.
Advice patient to avoid gas containing food
since there is no way of voluntary control of
flatus.

One can also reduce gas by eating slowly

and not using straws to drink liquids.
PEDIATRIC CONSIDERATION:
 Ostomy pouches designed for neonates, infants and
children are smaller and more skin sensitive adhesive
on the barrier.

 Peri-stomal skin of a preterm infant is not fully

developed, as a result you should not use skin sealant
and adhesive removes because they damage the
epithelium.
PROCEDURE
…